The holder whose full name is Haynes, Lori Sandra,come from Logansport IN,hold the Student Temp RCP license(NO.99020880A) which status is Superceded.
| Name | Haynes, Lori Sandra |
|---|---|
| License Number | 99020880A |
| License Type | Student Temp RCP |
| License Status | Superceded |
| City | Logansport |
| State | IN |